Men's health · Low T
Low T is confirmed with labs, not guessed from symptoms.
Our urologists confirm low T when both are present: symptoms, and two blood tests showing an abnormally low testosterone level, so treatment stays tied to evidence in your own labs.
Symptoms
Men most often describe tiredness, a drop in energy and sex drive, and changes in mood. Testosterone also plays a role in bone and heart health, which is part of why levels are checked properly.
02Contributors
Getting older and inherited factors play a part. So can long-term health conditions, including diabetes, hypertension and raised cholesterol, and habits such as smoking or spending most of the day inactive.
03Testosterone replacement therapy (TRT)
When labs and symptoms both confirm low T, our urologists talk through testosterone replacement therapy, also called TRT. Lifestyle advice, topical gels or creams, injections, and testosterone pellet implants placed in the office, typically every few months, are the options we discuss. We do not promise a particular result; the choice depends on your labs, your health and what you prefer. The Advanced Urology page on low testosterone.
04Related men’s health
Our urologists also look at related issues, including erectile dysfunction, so care covers your overall health.
Low testosterone is a lab diagnosis, then a conversation
Tiredness, lower sex drive, and softer erections can have many causes. Advanced Urology confirms low testosterone with blood work rather than from symptoms alone, and our urologists can help if those symptoms are present or if a lab has already come back low.
Visits are at 10730 Medlock Bridge Rd in Johns Creek or at the Cumming Clinic, 4150 Deputy Bill Cantrell Memorial Rd Suite 180. We will talk about timing of the blood draw, other hormones, and medicines that can affect the result, so we are not treating a number that was drawn at the wrong time of day.
Replacement methods we actually use
We offer testosterone as injections, topical gels or creams, oral medicines, and pellet implants placed under the skin in the office. Injections may be combined, in selected men, with HCG as our low-testosterone page notes. Each method has trade-offs, including the need to keep topical product from contacting other people in the household while it is still wet. We will not start replacement until the diagnosis is clear and the risks have been said out loud.
When to schedule, and what to bring
Book a visit or phone 678-344-8900 if you have symptoms you associate with low testosterone, if a lab is already low, or if you have been offered replacement elsewhere and want a urologic review. Bring prior lab printouts, a written list of your medicines, a government ID, and the insurance card we should have on file. This is clinic work, not emergency care.
Who you may see for this evaluation
Johns Creek visits are with Dr. Neal Patel, Dr. T. Casey McCullough, Dr. Nicholas Farber, or a physician assistant. Cumming visits may be with Dr. Herman Bagga, Dr. Rut Patel, or Kushan Radadia, MD. The official low-testosterone video below features Dr. Marc Greenstein, a urologist with Advanced Urology, walking through how low testosterone is evaluated and treated.
Will you start testosterone on the first visit?
Not before we have labs we trust. If those labs are already in your chart and they are recent, we may be able to talk about options that same day; if not, we will draw them and meet again.
Can this evaluation also look at erectile dysfunction?
Yes. The two questions often belong in the same visit, and the treatments can overlap or stay separate depending on the findings.
Do I need to be fasting?
Follow the instructions we give you when the labs are ordered. If you already had a morning sample drawn, bring it and we will decide whether it is enough.
An official practice video on low testosterone
Dr. Marc Greenstein, an Advanced Urology physician, discusses low testosterone in this official practice video — a clear orientation before you sit down with our urologists.
Watch: Dr. Greenstein on Low TestosteroneWhat the video covers. This official Advanced Urology video is titled "Dr. Greenstein on Low Testosterone." Dr. Greenstein discusses low testosterone.
Can a low-testosterone visit start in Cumming?
Yes. Blood work and a clinic plan can begin at either office.
What should I bring?
A medicine list, including any testosterone products you already use, and any prior lab results. Morning labs matter for this visit, and we will tell you if we need a repeat draw.
Do you start replacement on the first visit?
Not automatically. We confirm a low level and go over symptoms and health factors before talking through gels, injections or pellets.
Is a low level an emergency?
No. This is scheduled clinic work. Seek emergency care for unrelated urgent symptoms, such as being unable to empty or feeling faint from bleeding.
Whenever a visit would help, the Johns Creek and Cumming teams are a phone call or a booked appointment away.